Premier Advance Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B000000X Issued in SC

Legal business name

PREMIER ADVANCE MEDICAL SUPPLY

Practice address

445 Burns Dr
Swansea, SC 29160-8894

Phone

(888) 387-1116

NPI assigned

Sep 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory Leon Walker

Title

Owner

Phone

(888) 387-1116

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1922315480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BURNS DR",
            "city": "SWANSEA",
            "state": "SC",
            "postal_code": "291608894",
            "telephone_number": "888-387-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BURNS DR",
            "city": "SWANSEA",
            "state": "SC",
            "postal_code": "291608894",
            "telephone_number": "888-387-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER ADVANCE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-06",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-387-1116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "332B000000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Danielle Scott, M.A. CCC-SLP

• Durable Medical Equipment & Medical Supplies in Swansea, SC
• Providers in Swansea, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.